title: Management of Brown-Sequard syndrome in cervical disc diseases.
abstract: OBJECTIVE
  To raise the awareness of the appropriate management of unusual clinical presentation of cervical disc herniation.
  
  
  METHODS
  Seven patients with Brown-Sequard syndrome due to cervical disc herniation presented with Brown-Sequard syndrome had been treated surgically as one of them treated with anterior cervical discectomy and three patients treated by anterior cervical discectomy and fusion while three of them have been treated by posterior laminectomy.
  
  
  RESULTS
  Patients were 7 three of them were female and four were males and the mean age of our patients is 45.28 ± 16.49 years ranged between 32 and 72 years. History of spinodegenerative disease in the form of chronic neck pain with or without brachialgia was found in 6/7 patients (85.7%) while history of trauma was found in 5/7 patients (71.4%). Most common affected level is C5-C6 disc Outcome after surgical treatment revealed complete recovery in 4/7 patients (57.1%) while incomplete recovery in 2 patients (28.6%) and no improvement in one patient (14.3%).
  
  
  CONCLUSIONS
  Brown-Sequard syndrome is a rare presentation of cervical disc herniation but accurate diagnosis, and early anterior spinal cord decompression lead to complete recovery of these cases.
authors.affiliation: Zagazig University, Faculty of Medicine, Department of Neurosurgery, Zagazig, Sharkia, Egypt.
authors.forename: Safwat
authors.initials: S
authors.lastname: Abouhashem
authors.forename: Mohamad
authors.initials: M
authors.lastname: Ammar
authors.forename: Mohamad
authors.initials: M
authors.lastname: Barakat
authors.forename: Essam
authors.initials: E
authors.lastname: Abdelhameed
mesh_terms: D000328:Adult; D000368:Aged; D018437:Brown-Sequard Syndrome / Q000209:etiology* / Q000628:therapy*; D002574:Cervical Vertebrae; D003131:Combined Modality Therapy; D017586:Diskectomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D055959:Intervertebral Disc Degeneration / Q000150:complications* / Q000628:therapy*; D007405:Intervertebral Disc Displacement / Q000150:complications* / Q000628:therapy*; D007796:Laminectomy; D008297:Male; D008875:Middle Aged; D018908:Muscle Weakness / Q000209:etiology; D026741:Physical Therapy Modalities; D013123:Spinal Fusion; D016896:Treatment Outcome